Commonly asked questions about thyroid function

S. A. Smith

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Thyroid function abnormalities in asymptomatic outpatients are common. When a patient is found to have an abnormality in thyrotropin (thyroid- stimulating hormone) or free or total thyroxine (T4), a review of the patient's medications and a careful neck examination will usually provide the explanation. Further diagnostic laboratory studies should include additional tests of T4 or thyrotropin. Determining the presence of antimicrosomal antibodies is useful for further assessment of 'subclinical' hypothyroidism, and measures of protein binding (T4-binding capacity or T4-binding protein electrophoresis) help confirm a suspected congenital or acquired abnormality of T4 binding. Recognition of euthyroid hypothyroxinemia and hyperthyroxinemia is important in order to avoid intervention with inappropriate treatment. Management of subclinical hypothyroidism and hyperthyroidism necessitates clinical judgment about the patient's symptom profile and risks for long-standing or progressive thyroid dysfunction.

Original languageEnglish (US)
Pages (from-to)573-577
Number of pages5
JournalMayo Clinic Proceedings
Volume70
Issue number6
StatePublished - 1995

Fingerprint

Thyrotropin
Thyroid Gland
Hypothyroidism
Hyperthyroxinemia
Hyperthyroidism
Thyroxine
Protein Binding
Electrophoresis
Carrier Proteins
Outpatients
Neck
Antibodies
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Commonly asked questions about thyroid function. / Smith, S. A.

In: Mayo Clinic Proceedings, Vol. 70, No. 6, 1995, p. 573-577.

Research output: Contribution to journalArticle

Smith, SA 1995, 'Commonly asked questions about thyroid function', Mayo Clinic Proceedings, vol. 70, no. 6, pp. 573-577.
Smith, S. A. / Commonly asked questions about thyroid function. In: Mayo Clinic Proceedings. 1995 ; Vol. 70, No. 6. pp. 573-577.
@article{069c73e0023a45db91051c9e30164264,
title = "Commonly asked questions about thyroid function",
abstract = "Thyroid function abnormalities in asymptomatic outpatients are common. When a patient is found to have an abnormality in thyrotropin (thyroid- stimulating hormone) or free or total thyroxine (T4), a review of the patient's medications and a careful neck examination will usually provide the explanation. Further diagnostic laboratory studies should include additional tests of T4 or thyrotropin. Determining the presence of antimicrosomal antibodies is useful for further assessment of 'subclinical' hypothyroidism, and measures of protein binding (T4-binding capacity or T4-binding protein electrophoresis) help confirm a suspected congenital or acquired abnormality of T4 binding. Recognition of euthyroid hypothyroxinemia and hyperthyroxinemia is important in order to avoid intervention with inappropriate treatment. Management of subclinical hypothyroidism and hyperthyroidism necessitates clinical judgment about the patient's symptom profile and risks for long-standing or progressive thyroid dysfunction.",
author = "Smith, {S. A.}",
year = "1995",
language = "English (US)",
volume = "70",
pages = "573--577",
journal = "Mayo Clinic Proceedings",
issn = "0025-6196",
publisher = "Elsevier Science",
number = "6",

}

TY - JOUR

T1 - Commonly asked questions about thyroid function

AU - Smith, S. A.

PY - 1995

Y1 - 1995

N2 - Thyroid function abnormalities in asymptomatic outpatients are common. When a patient is found to have an abnormality in thyrotropin (thyroid- stimulating hormone) or free or total thyroxine (T4), a review of the patient's medications and a careful neck examination will usually provide the explanation. Further diagnostic laboratory studies should include additional tests of T4 or thyrotropin. Determining the presence of antimicrosomal antibodies is useful for further assessment of 'subclinical' hypothyroidism, and measures of protein binding (T4-binding capacity or T4-binding protein electrophoresis) help confirm a suspected congenital or acquired abnormality of T4 binding. Recognition of euthyroid hypothyroxinemia and hyperthyroxinemia is important in order to avoid intervention with inappropriate treatment. Management of subclinical hypothyroidism and hyperthyroidism necessitates clinical judgment about the patient's symptom profile and risks for long-standing or progressive thyroid dysfunction.

AB - Thyroid function abnormalities in asymptomatic outpatients are common. When a patient is found to have an abnormality in thyrotropin (thyroid- stimulating hormone) or free or total thyroxine (T4), a review of the patient's medications and a careful neck examination will usually provide the explanation. Further diagnostic laboratory studies should include additional tests of T4 or thyrotropin. Determining the presence of antimicrosomal antibodies is useful for further assessment of 'subclinical' hypothyroidism, and measures of protein binding (T4-binding capacity or T4-binding protein electrophoresis) help confirm a suspected congenital or acquired abnormality of T4 binding. Recognition of euthyroid hypothyroxinemia and hyperthyroxinemia is important in order to avoid intervention with inappropriate treatment. Management of subclinical hypothyroidism and hyperthyroidism necessitates clinical judgment about the patient's symptom profile and risks for long-standing or progressive thyroid dysfunction.

UR - http://www.scopus.com/inward/record.url?scp=0029010767&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029010767&partnerID=8YFLogxK

M3 - Article

C2 - 7776719

AN - SCOPUS:0029010767

VL - 70

SP - 573

EP - 577

JO - Mayo Clinic Proceedings

JF - Mayo Clinic Proceedings

SN - 0025-6196

IS - 6

ER -